NPI | 1205358223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CO OT.0006724) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: CO OT.0006724) |
Enumeration Date | 2017-07-11 |
Last Update Date | 2021-02-25 |